Everything about Choledocholithiasis totally explained
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ICD9 = |
ICDO = |
Image = Impacted ampulla.jpg|
Caption =
Common bile duct stone impacted at
ampulla of Vater seen at time of
ERCP|
OMIM = |
MedlinePlus = 000274 |
eMedicineSubj = med |
eMedicineTopic = 350 |
DiseasesDB = 33385 |
}}
Choledocholithiasis is the presence of
gallstones in the
common bile duct. This condition causes
jaundice and
liver cell damage, and is a
medical emergency, requiring the
endoscopic retrograde cholangiopancreatography (ERCP) procedure or
surgical treatment.
A tendency for this disease can be inherited.
Cause
While stones can frequently pass through the common bile duct into the
duodenum, some stones may be too large to pass through the CBD and may cause an obstruction.
Complications
This obstruction leads to jaundice, elevation in
alkaline phosphatase, increase in conjugated bilirubin in the blood and increase in
cholesterol in the blood. It can also cause acute pancreatitis and
ascending cholangitis.
Diagnosis
Doctors can use a blood test of alkaline phosphatase, bilirubin and cholesterol to diagnose choledocholithiasis.
However,
ultrasound demonstrating an enlarged common bile duct is the test of choice.
Treatment
Treatment involves removing the stone using ERCP. Typically, the gallbladder is then removed to prevent a future occurrence of common bile duct obstruction.
Further Information
Get more info on 'Choledocholithiasis'.
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